Mondezie, Kimberly
Mondezie, Kimberly is an individual health care provider with primary practice located at 707 N Courthouse Rd , North Chesterfield VA 23236-4045. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Mondezie, Kimberly can be contacted via phone (804) 924-2236.Contact Information
Primary practice address
707 N Courthouse Rd
North Chesterfield VA 23236-4045
Phone: (804) 924-2236
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0710102851 | Virginia |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor | 225C00000X | 00117448 | Virginia |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701006952 | Virginia |
Profile Details
NPI number | 1134634736 |
---|---|
LBN Legal business name | Mondezie, Kimberly |
Credentials | LPC, CSAC, CRC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 6th, 2017 |
Last updated | Sep 20th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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